TY - JOUR
T1 - Navigating Breast Cancer Screening in Rural Missouri
T2 - From Patient Navigation to Social Navigation
AU - Hunleth, Jean
AU - Steinmetz, Emily
N1 - Funding Information:
Rebecca Lobb, Julia Maki, and Amanda Lee contributed substantially to the research; Daisy Fernandez and Sarah Kinch helped with analysis. Dawn Pankonien commented on early drafts of this article. We appreciate Rebecca Marsland and James Staples, and the anonymous reviewers of our submission to Medical Anthropology, for seeing value in the work and helping us refine our argument. We are especially grateful to the 19 women who shared their time and experiences with us. This study was supported by a grant from the National Cancer Institute (PI Lobb; R21CA181684-01A1). Jean Hunleth’s time spent writing after the grant period ended was supported by funding from the Foundation for Barnes Jewish Hospital and the Siteman Cancer Center. All research activities were approved by Washington University’s Institutional Review Board.
Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - The National Cancer Institute recently identified rural cancer disparities as a priority issue, dedicating resources to rural cancer prevention, presenting opportunities and also risks. We bring an anthropological concept, social navigation, to bear on a popular public health intervention, patient navigation, increasingly proposed as an “evidence-based” approach to reducing health disparities. Our study of mammography in the Missouri Bootheel demonstrates how such interventions elide the shifting terrain and slow violence of rural health care where people must improvise care through trying out or sticking with providers, negotiating self-advocacy and deference, or changing screening timelines amidst structural constraints and rural stereotypes.
AB - The National Cancer Institute recently identified rural cancer disparities as a priority issue, dedicating resources to rural cancer prevention, presenting opportunities and also risks. We bring an anthropological concept, social navigation, to bear on a popular public health intervention, patient navigation, increasingly proposed as an “evidence-based” approach to reducing health disparities. Our study of mammography in the Missouri Bootheel demonstrates how such interventions elide the shifting terrain and slow violence of rural health care where people must improvise care through trying out or sticking with providers, negotiating self-advocacy and deference, or changing screening timelines amidst structural constraints and rural stereotypes.
KW - Cancer screening
KW - health inequalities
KW - mammography
KW - rural health
UR - http://www.scopus.com/inward/record.url?scp=85123478236&partnerID=8YFLogxK
U2 - 10.1080/01459740.2021.2015347
DO - 10.1080/01459740.2021.2015347
M3 - Article
C2 - 35050816
AN - SCOPUS:85123478236
SN - 0145-9740
VL - 41
SP - 228
EP - 242
JO - Medical Anthropology: Cross Cultural Studies in Health and Illness
JF - Medical Anthropology: Cross Cultural Studies in Health and Illness
IS - 2
ER -